Epidemiological profile of patients with preterm pre-mature rupture of membranes at a tertiary hospital in Sao Paulo, Brazil

Imagem de Miniatura
Arquivos
art_GALLETTA_Epidemiological_profile_of_patients_with_preterm_premature_rupture_2019.PDF (763.42 KB)
Citações na Scopus
7
Tipo de produção
article
Data de publicação
2019
DOI
SciELO
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
HOSPITAL CLINICAS, UNIV SAO PAULO
Autores
Citação
CLINICS, v.74, article ID e1231, 12p, 2019
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
OBJECTIVE: To perform a descriptive analysis of preterm premature rupture of membranes (PPROM) cases attended in a tertiary hospital. METHOD: Retrospective analysis of medical records and laboratory tests of patients admitted to a Brazilian tertiary hospital between 2006 and 2011, with a confirmed diagnosis of PPROM and gestational age (GA) at delivery <37 weeks. RESULTS: A total of 299 pregnant women were included in the study. Nine patients evolved to abortion, and 290 pregnant women remained for the final analysis. There was initial diagnostic doubt in 17.6% of the cases. The oligohydramnios rate [amniotic fluid index (AFI) <5] was 27.9% on admission. Chorioamnionitis was initially diagnosed in 10.8% of the patients and was retrospectively confirmed in 22.9% of the samples. The latency period had a mean of 9.1 days. The main reasons for interruption were premature labor (55.2%), GA >= 36 weeks (27.2%), and fetal distress (6.9%). The delivery method was cesarean section in 55% of cases. The mean birth weight was 2,124 grams, and 67% of the neonates had a low birth weight (<2500 g). The GA at delivery averaged 33.5 weeks. The stillbirth rate was 5.3%, and the early neonatal mortality rate was 5.6%. There were complications at delivery in 18% of mothers. CONCLUSION: In one of the few Brazilian reports on the epidemiological profile of PPROM, with GA until 37 weeks and intercurrences generally excluded from assessments (such as twinning and fetal malformations), there is a favorable evolution, with an acceptable rate of complications.
Palavras-chave
Fetal Membranes, Premature Rupture, Pregnancy Outcome, Pregnancy Complications, Obstetric Labor, Premature, Infant, Newborn, Perinatal Death
URI
https://observatorio.fm.usp.br/handle/OPI/34469
Referências
  1. Aagaard-Tilleri KM, 2005, AM J PERINAT, V22, P287, DOI 10.1055/s-2005-870659
  2. Aboyeji A P, 2005, J Obstet Gynaecol, V25, P761, DOI 10.1080/01443610500314876
  3. Alexander GR, 1996, OBSTET GYNECOL, V87, P163, DOI 10.1016/0029-7844(95)00386-X
  4. Andres RL, 2013, AM J PERINAT, V30, P185, DOI 10.1055/s-0032-1322517
  5. [Anonymous], 2016, Obstet Gynecol, V128, P934, DOI 10.1097/AOG.0000000000001703
  6. Araujo ACPF, 1995, REV BRAS GINECOL OBS, V17, P881
  7. Barbosa Raphael Lacerda, 2015, Rev. Bras. Saude Mater. Infant., V15, P325, DOI 10.1590/S1519-38292015000300008
  8. Bartha JL, 2003, EUR J OBSTET GYN R B, V109, P41, DOI 10.1016/S0301-2115(02)00480-3
  9. Beraldo Cláudio, 2004, Rev. Bras. Ginecol. Obstet., V26, P543, DOI 10.1590/S0100-72032004000700006
  10. Carvalho MHB., 2015, PROTOCOLOS ASSISTENC, P423
  11. Chen ZY, 2010, INT J GYNECOL OBSTET, V109, P41, DOI 10.1016/j.ijgo.2009.10.015
  12. Costa RA, 2015, PROTOCOLOS ASSISTENC, P521
  13. Dars S, 2014, PAK J MED SCI, V30, P626, DOI 10.12669/pjms.303.4853
  14. Diebel ND, 1998, J PERINAT MED, V26, P204, DOI 10.1515/jpme.1998.26.3.204
  15. England MC, 2013, AM J PERINAT, V30, P821, DOI 10.1055/s-0032-1333408
  16. Fernandes GL, 2012, J OBSTET GYNAECOL, V32, P45, DOI 10.3109/01443615.2011.609923
  17. Frenette P, 2013, J OBSTET GYNAECOL CA, V35, P710, DOI 10.1016/S1701-2163(15)30861-6
  18. Furman B, 2000, EUR J OBSTET GYN R B, V92, P209, DOI 10.1016/S0301-2115(99)00257-2
  19. Galletta MAK., 2011, PROTOCOLOS ASSISTENC, P539
  20. Garite TJ, 2017, AM J OBSTET GYNECOL, V217, DOI 10.1016/j.ajog.2017.02.043
  21. Goncalves LF, 2009, ARQ CATARIN MED, V38, P67
  22. Gonzalez L Martinez, 1998, REV CUB OBSTET GINEC, V24, P145
  23. Granados CG, 2009, PROG OBSTET GINECOL, V52, P151, DOI [10.1016/S0304-5013(09)70618-1, DOI 10.1016/S0304-5013(09)70618-1]
  24. Hackenhaar AA, 2014, J PEDIAT-BRAZIL, V90, P197, DOI 10.1016/j.jped.2013.08.003
  25. Hammoud AO, 2007, INT J GYNECOL OBSTET, V96, P28, DOI 10.1016/j.ijgo.2006.09.005
  26. HARGER JH, 1990, AM J OBSTET GYNECOL, V163, P130, DOI 10.1016/S0002-9378(11)90686-3
  27. Karat C, 2006, Indian J Med Microbiol, V24, P283
  28. Kilpatrick SJ, 2006, AM J OBSTET GYNECOL, V194, P1168, DOI 10.1016/j.ajog.2005.12.017
  29. Kock K, 2010, J MATERN-FETAL NEO M, V23, P1004, DOI 10.3109/14767050903551392
  30. Kurdoglu M, 2010, ARCH GYNECOL OBSTET, V281, P601, DOI 10.1007/s00404-009-1147-4
  31. Lansky S, 2014, CAD SAUDE PUBLICA, V30, DOI 10.1590/0102-311X00133213
  32. Liu J, 2010, J TROP PEDIATRICS, V56, P36, DOI 10.1093/tropej/fmp051
  33. MANNING FA, 1980, AM J OBSTET GYNECOL, V136, P787, DOI 10.1016/0002-9378(80)90457-3
  34. MATHEUS M, 1986, Jornal Brasileiro de Ginecologia, V96, P399
  35. Mercer BM, 2000, AM J OBSTET GYNECOL, V183, P738, DOI 10.1067/mob.2000.106766
  36. da Silva SMM, 2014, REV BRAS GINECOL OBS, V36, P442, DOI 10.1590/SO100-720320140004941
  37. Mikamo H, 1999, Infect Dis Obstet Gynecol, V7, P190, DOI 10.1155/S1064744999000320
  38. Miranda-Flores Alan Francis, 2014, Acta méd. peruana, V31, P84
  39. Mousavi AS, 2018, J OBSTET GYNAECOL, V38, P611, DOI 10.1080/01443615.2017.1394280
  40. Niebla JC, 2003, REV CUBANA OBSTET GI, V29
  41. Nomura Marcelo Luís, 2003, Rev. Bras. Ginecol. Obstet., V25, P483, DOI 10.1590/S0100-72032003000700004
  42. Nomura ML, 2009, REV BRAS GINECOL OBS, V31, P397, DOI 10.1590/S0100-72032009000800005
  43. Noor Shehla, 2007, J Ayub Med Coll Abbottabad, V19, P14
  44. Ortiz Fred Morgan, 2008, Ginecol Obstet Mex, V76, P468
  45. Palmer L, 2017, INT J GYNECOL OBSTET, V137, P180, DOI 10.1002/ijgo.12122
  46. Passini R, 2014, PLOS ONE, V9, DOI 10.1371/journal.pone.0109069
  47. Patriota AF, 2014, REV BRAS GINECOL OBS, V36, P296, DOI 10.1590/SO100-720320140004958
  48. Paula GD, 2008, CAD SAUDE PUBLICA, V24, P2521, DOI 10.1590/S0102-311X2008001100007
  49. Perrone G, 2012, GYNECOL OBSTET INVES, V74, P95, DOI 10.1159/000337717
  50. PHELAN JP, 1987, J REPROD MED, V32, P601
  51. Pierre Alessandra Maria Mont'Alverne, 2003, Rev. Bras. Ginecol. Obstet., V25, P109, DOI 10.1590/S0100-72032003000200006
  52. Rode L, 2014, BEST PRACT RES CL OB, V28, P273, DOI 10.1016/j.bpobgyn.2013.11.002
  53. Souza ASR, 2016, REV ASSOC MED BRAS, V62, P269, DOI 10.1590/1806-9282.62.03.269
  54. Rujiwetpongstorn Jittima, 2014, Journal of the Medical Association of Thailand, V97, P1101
  55. Sheiner E, 2005, EUR J OBSTET GYN R B, V118, P61, DOI 10.1016/j.ejogrb.2004.06.015
  56. Shen TT, 2008, AM J OBSTET GYNECOL, V199, DOI 10.1016/j.ajog.2008.05.011
  57. Shrestha R, 2008, AM J OBSTET GYNECOL, V199, pS56, DOI 10.1016/j.ajog.2008.09.184
  58. Silveira ML, 2014, REV REDE ENFERM NORD, V15, P491, DOI 10.15253/2175-6783.2014000300014
  59. Souza LF, 2011, REV PARA MED, V25, P15
  60. van der Ham DP, 2012, PLOS MED, V9, DOI 10.1371/journal.pmed.1001208
  61. Neta FAV, 2014, REV REDE ENFERM NORD, V15, P823, DOI 10.15253/2175-6783.2014000500012
  62. Zhang LX, 2017, CHINESE MED J-PEKING, V130, P2416, DOI 10.4103/0366-6999.216396

Coleções
Artigos e Materiais de Revistas Científicas - FM/MOG
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - LIM/57
Artigos e Materiais de Revistas Científicas - ODS/03